Individual
MS. TYNIA CHILDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
685 W BROADWAY APT 7K, MONTICELLO, NY 12701-7154
(845) 428-5554
Mailing address
55 GRASSY SPRINGS CT, OXFORD, GA 30054-3012
(470) 314-1943
Taxonomy
Speciality
Code
Description
License number
State
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
Primary
322787
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1508176397
—
NY
Enumeration date
10/14/2010
Last updated
09/16/2024
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